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Session Title: Intracorneal inlays for correction of presbyopia
Session Date/Time: Tuesday 08/10/2013 | 08:00-10:30
Paper Time: 09:30
Venue: Main Lecture Hall (Ground Floor)
First Author: : P.Mikhail RUSSIA
Co Author(s): : T. Vladimir P. Elisaveta
Clinical evaluation of Presbia Flexivue Microlens corneal implant in10 cases of presbyopic patients.
Federal medical biological Agency, Moscow, Russia
Presbia Flexivue Microlens (Presbia Coöperatief U.A. Amsterdam, Netherlands) was implanted on the corneal stromal pocket created by Intralase IFS femtosecond laser in 10 nondominant eyes of 10 presbyopic patients with postop evaluation period from 6 month to 1 year. Changes in corneal curvature with multifocal effect on refractive power were provided in all cases. Pentacam, anterior OCT, confocal microscopy, aberrometry, near, intermediate, distant visual acuities and patient satisfaction were analysed.
All implanted eyes achieved uncorrected near visual acuity of 0.2 logMAR or better in 5-7 days postop, UCVDA and CVDA reduced in 2 cases- one patient was dissatisfied with severe glare at night and low long distance vision underwent explantation after 3 month. From 6 month to 1year, 7 of 10 patients were satisfied with near and long distance vision and 1 was satisfied with near vision only, 1 patient was dissatisfied with both near and distant vision and one patient returned to preop parameters due to removal of Presbia Flexivue Microlens. Cornea remained transparent in all cases with minimal debris inclusion in 2 cases. Pentacam, OCT and other postop examinations confirmed stable corneal conditions during postop period in all cases.
The Presbia Flexivue Microlens inlay can be easily implanted in corneal stromal pocket, created with femtosecond laser. In all cases Presbia implant provided stable condition of corneal tissue and improvement in uncorrected near and intermediate visual acuity, with high patient satisfaction level. Distance visual acuity reduction and severe glare at night were present in 2 cases, one implant was removed after 3 month with no damage to visual functions and corneal structure, returned to preop conditions.
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